HB Coding Analyst, Fulltime, Days (Remote Must reside in IL, IN, IA, or WI Signon bonus eligible)
Offer summary
Qualifications:
Minimum of 3 years of experience in an acute healthcare setting., Certification such as RHIT, RHIA, CCS, CCS-P, COC, or CPC is required., Membership in AHIMA or AAPC is necessary., Preferred candidates have 4 years of healthcare coding experience and additional professional experience..Key responsibilities:
- Assigns appropriate ICD-10-CM and CPT-4 codes to outpatient visits.
- Reviews medical records to determine accurate diagnoses and procedures.
- Collaborates with clinical and administrative staff to ensure proper coding and reimbursement.
- Resolves claim failures related to coding edits and maintains coding accuracy standards.
Job description
Company Description
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patientfirst approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, youll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?
Job Description
The HB Coding Analyst reflects the mission, vision, and values of Northwestern Memorial, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The HB Coding Analyst is the coding and reimbursement expert in ICD10CM diagnosis coding and has expertise with HCPC Level I and II procedural codes. Also demonstrates expertise to resolve NCDLCD and NCCI edits of hardcoded (Chargemaster) and softcoded (coder assigned) HCPC codes.
Responsibilities:
- Utilizes technical coding expertise to assign appropriate ICD10CM and CPT4 codes to outpatient visit types
- Utilizes technical coding expertise to assign Evaluation and Management codes for physician encounters
- Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses, procedures, and evaluation and management services
- Collaborates with Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise
- Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses andor procedures
- Follows ICD10CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant, interprets coding conventions and instructional notes to select appropriate diagnoses and procedures with a minimum of 95% accuracy
- Resolves NCCI, NCDLCD or other outpatient edit claim failures as assigned
- Meets established minimum coding productivity and quality standards for each outpatient encounter type
- Other duties as assigned
QualificationsRequired:
- 3 years of experience in acute healthcare setting
- RHIT or RHIA or CCS or CCSP or COC or CPC
- AHIMA or AAPC membership
Preferred:
- RHIARHIT with CCS, CCSP, COC, CPC
- 4 years’ experience in acute healthcare setting
- 4 years’ experience in a professional setting
Additional InformationNorthwestern Medicine is an affirmative actionequal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial wellbeing while providing protection for unexpected life events. Please visit our Benefits section to learn more.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patientfirst approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, youll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?
Job Description
The HB Coding Analyst reflects the mission, vision, and values of Northwestern Memorial, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The HB Coding Analyst is the coding and reimbursement expert in ICD10CM diagnosis coding and has expertise with HCPC Level I and II procedural codes. Also demonstrates expertise to resolve NCDLCD and NCCI edits of hardcoded (Chargemaster) and softcoded (coder assigned) HCPC codes.
Responsibilities:
- Utilizes technical coding expertise to assign appropriate ICD10CM and CPT4 codes to outpatient visit types
- Utilizes technical coding expertise to assign Evaluation and Management codes for physician encounters
- Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses, procedures, and evaluation and management services
- Collaborates with Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise
- Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses andor procedures
- Follows ICD10CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant, interprets coding conventions and instructional notes to select appropriate diagnoses and procedures with a minimum of 95% accuracy
- Resolves NCCI, NCDLCD or other outpatient edit claim failures as assigned
- Meets established minimum coding productivity and quality standards for each outpatient encounter type
- Other duties as assigned
QualificationsRequired:
- 3 years of experience in acute healthcare setting
- RHIT or RHIA or CCS or CCSP or COC or CPC
- AHIMA or AAPC membership
Preferred:
- RHIARHIT with CCS, CCSP, COC, CPC
- 4 years’ experience in acute healthcare setting
- 4 years’ experience in a professional setting
Additional InformationNorthwestern Medicine is an affirmative actionequal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial wellbeing while providing protection for unexpected life events. Please visit our Benefits section to learn more.
The HB Coding Analyst reflects the mission, vision, and values of Northwestern Memorial, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The HB Coding Analyst is the coding and reimbursement expert in ICD10CM diagnosis coding and has expertise with HCPC Level I and II procedural codes. Also demonstrates expertise to resolve NCDLCD and NCCI edits of hardcoded (Chargemaster) and softcoded (coder assigned) HCPC codes.
Responsibilities:
- Utilizes technical coding expertise to assign appropriate ICD10CM and CPT4 codes to outpatient visit types
- Utilizes technical coding expertise to assign Evaluation and Management codes for physician encounters
- Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses, procedures, and evaluation and management services
- Collaborates with Patient Accounting, Registration, case managers, and other clinical areas to provide coding reimbursement expertise
- Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses andor procedures
- Follows ICD10CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant, interprets coding conventions and instructional notes to select appropriate diagnoses and procedures with a minimum of 95% accuracy
- Resolves NCCI, NCDLCD or other outpatient edit claim failures as assigned
- Meets established minimum coding productivity and quality standards for each outpatient encounter type
- Other duties as assigned
- 3 years of experience in acute healthcare setting
- RHIT or RHIA or CCS or CCSP or COC or CPC
- AHIMA or AAPC membership
- RHIARHIT with CCS, CCSP, COC, CPC
- 4 years’ experience in acute healthcare setting
- 4 years’ experience in a professional setting
Additional Information
Northwestern Medicine is an affirmative actionequal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial wellbeing while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Preferred:
Qualifications
Required:
Required profile
Experience
Other Skills
- Detail Oriented
- Collaboration
- Problem Solving
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